Zvikuru huro: zvikonzero uye pathogenesis

Hosha huro, kana pharyngitis, anova nokuda kwechirwere utachiona streptococcal noutachiona. Kushoma kwaisanganisirawo mucosa ari pharynx, iyo nyoro mukanwa, tonsils, uyewo tsandanyama uye retropharyngeal node nodes. Limited kuzvimba nyoro mukanwa uye tonsils pharyngeal lymphoid mhete inonzi angina.

By yezvakaita kukundwa kwazvo huro dzinoiswa kupinda: catarrhal, croupous, diphtheria, urikanwi, phlegmonous. By mavambo - pamusoro nesekondari, uye kuerera - chakasimba uye refu. Primary chenjera pharyngitis kunoitika kunonyanya kukonzerwa subcooling zvachose muviri kana omunharaunda Migumisiro chando pamusoro ari mucosa ari pharynx, kazhinji mumatsutso uye muchirimo, i.e. nenguva yakakura nokufamba mumhepo tembiricha. Kwazvo huro zvingaitikawo panguva inhalation chepfu magasi, zvemakemikari irritants (acids, alkalis, aqueous amoniya mhinduro, formalin). The etiology pamusoro pharyngitis kunewo chokuita yezvirwere uye nemavhairasi zvirwere. nekukudziridza kwazvo huro uye kuomesa zvirwere zvakadai stomatitis, rhinitis, laryngitis, tracheitis.

Kutaurirana pakati pharyngitis uye kuzvimba mucous membranes mhino, dokeriro uye trachea zvakadaro pedyo kuti, kazhinji, diffuse pezvakaitwa of Charter haagoni kuva anonyanya zvakakanganisa nenyere. Saka, muna muzviitiko izvi havabvumirwi kuti chirwere che "catarrh rokumusoro kufema turakiti." Pharyngitis somunhu nosological chirwere kunokwanisa kuonekwa chete kana kurapwa zviratidzo zvinozarurwa kunyanya kumudzipa.

pathogenesis

The pharynx iri mupasi lymphoid idzodzo dzakawanda kudaro. Tonsils (kuunganidza lymphoid zvinyama ari mucosa pamusoro pharynx) basa rinokosha pakudzivirira muviri utachiona. Tonsils pharyngeal mhete "zivisa" dziviriro yezvirwere mumuviri pamusoro yezvakaita antigen iri anwa zvokudya, mvura uye mhepo. Uyezve, iyi antigen-kuenda Kusiyanisa pamusoro lymphocytes avo effector mumasero, izvo kuti zvirwere, saka pharyngeal lymphoid yaivapo kukonzera pathogenesis zvirwere zvinotapukira. Izvi imhaka ndechokuti mucosa pamusoro tonsils uye lymphoid pharyngeal mhete ane indentations zhinji (crypts) uye matanga, ane saprophytic uye pathogenic microflora: streptococci uye staphylococci, sartsiny, actinomycetes, Pasteurella, notumwe tupukanana Pseudomonas aeruginosa, Escherichia coli coli, uye mamwe mabhakitiriya. Asi microflora munzvimbo idzi hazvirevi dzinoberekera nokuda pakunzwisisa cellular uye humoral zvikonzero pamusoro zvirwere. Izvi anochengeta nengaidzo pakati macro- uye Micro-zvinenge. Zvisinei, zvinoderedza zvinonyatsorehwa kurwisa zviri Muviri kudzivirira zvigadziriswe pakati pharynx pasi pokudzora etiological zvinhu anosika zvinhu nokuda kukura microflora uye kuvandudza ayo pathogenic chiito. Tusingaoneki vavo metabolic metabolites kutsvinyira mucous Kamudzira, zvinopfuura amygdala uye kukonzera kuzvimba mavari. Products kuzvimba uye microbial zvinokachidza zviri wefodya unopinda muropa uye chikonzero kudhaka, kwamakadarika pane fivha, kushata mukuru ezvinhu, vakawedzera remunharaunda node nodes. Zvomoto tonsils haana kunyatsonzwisisa kushanda unodzivirira nerevane inogona chine gedhi nokuda kupinda ose microflora hunokonzera kukura sepsis pamuviri.

Strep huro muvana achabatsirwa ihosha huro, hyperthermia, kuzvimba tonsils, node nodes kuwedzera uye nounyoro. Chinonyanya muvamwe vana makore 4-11 ekuberekwa. Kuzosimbisa chirwere zvakafanira kuitisa bacteriological kudzidza.

Varwere vane chirwere che "kuzvimba huro" kurapwa raitongwa kushandisa zvinodhaka antibacterial, rakafukidza zvinoreva rakanyorovera huro ashatirwa uye zvomoto mucosa.